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NPI Code Detail

MEDICARE: MR. VENERANDO C LOMONGO PT

MEDICARE:  MR. VENERANDO C LOMONGO  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistD207381NY

General Provider Information

NPI Number : 1932277191
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VENERANDO C LOMONGO PT
Provider Business Mailing Address
First Line : 346 1ST ST
Second Line : C/O HOME THERAPY PT LLC
City : BROOKLYN
State : NY
Zip : 11215-1906
Country : US
Telephone Number : 347-708-9701
Fax Number : 347-708-9701
Provider Business Practice Location Address
First Line : 346 1ST ST
Second Line : C/O HOME THERAPY PT LLC
City : BROOKLYN
State : NY
Zip : 11215-1906
Country : US
Telephone Number : 347-708-9701
Fax Number : 347-708-9701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 04/19/2016

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Directions to “ MR. VENERANDO C LOMONGO PT” Practice Location

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